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Surgery Is An Organized Chaos Of Cords, Tubes And WiresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Surgery is messy… and I don’t mean in terms of blood and guts… What I mean are wires, cables, tubing, etc. Electric cord for the operating tableLet’s take a routine tonsillectomy and adenoidectomy for example… Electric cord for the anesthesia machine Electric cord for the surgeon’s headlight Light cord from the surgeon’s headlight to the lightbox Breathing circuit tube from the patient to the anesthesia machine Carbon dioxide outflow tube from the patient to the anesthesia machine Suction tubing from the surgical table to the vacuum canister Vacuum cable from the vacuum canister ...
Source: Better Health - September 12, 2011 Category: Health Medicine and Bioethics Commentators Authors: ChristopherChangMD Tags: News Air anesthesia machine Coblation cable Cords EKG lines Electrocautery cable Entertainment system Grounding pad cable headlight Meredith Perry NPR O.R. Operating Room Operating Table Surgery Tubes Ultrasound vacuum Source Type: blogs

Doctor Considers All The Ways He’s Been Inspired By Steve JobsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I’ve been reading A Game Plan for Life: The Power of Mentoring written by famed UCLA basketball coach John Wooden.  Wooden spends half of his book thanking the people who had a powerful influence on his life, coaching, philosophy, and outlook on life.  Important people included his father, coaches, President Abraham Lincoln, and Mother Theresa. Yes, President Abraham Lincoln and Mother Theresa. Though clearly he could have never met the former and didn’t have the opportunity to meet the latter, Wooden correctly points out that as individuals we can be mentored by the writings, words, and thoughts of people we...
Source: Better Health - September 10, 2011 Category: Health Medicine and Bioethics Commentators Authors: Davis Liu, M.D. Tags: Opinion Apple Atul Gawande Doctor Patient Relationship Harvard Medical School Health Care system Healthcare reform Information Technology Inspiration John Wooden Mentor Redefining Health Care Steve Jobs Source Type: blogs

Device Delivers A Still-Beating Heart To Transplant PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Packing hearts on ice destined for transplantation may eventually become a thing of the past. The Organ Care System from TransMedics, which delivers a still-beating heart to a transplant patient, continues to show promise in clinical trials. UCLA recently reported that Rob Evans, a 61-year-old patient suffering from cardiomyopathy, is the most recent recipient of a heart delivered by the device. We’ve actually covered the Organ Care System (OCS) several times before (we first caught wind of it in 2006). The device, however, is still classified as an investigational device by the FDA; it is undergoing phase II clinical tr...
Source: Better Health - September 10, 2011 Category: Health Medicine and Bioethics Commentators Authors: Medgadget Tags: Research Cardiac Disease Cardiac Surgery Cardiomyopathy Cleveland Clinic Clinical Trials Columbia University Medical Center Donor Dr. Abbas Ardehali New York-Presbyterian OCS Organ Care system TransMedics Transplant UCLA UCLA Source Type: blogs

Another Hospital Putting on the RitzEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The usual definition of a hospital is an institution which treats the sick and injured,.  That is a messy business, so some hospital executives seem to yearn to be doing something a little more - shall we say - upscale.  For example, the Chattanoogan reported:Erlanger Health System will launch in October one of the most ambitious employee training initiatives in its 120-year history. All 4,500 employees will participate in a new service excellence program based on the legendary Ritz-Carlton service model.'This is not a program. This is the beginning of long-term cultural transformation,' says Erlanger CEO Ja...
Source: Health Care Renewal - September 7, 2011 Category: Health Medicine and Bioethics Commentators Tags: Erlanger Health system generic managers generic management hospital systems Source Type: blogs

Article Recommends Herpes Zoster Vaccine For Adults Over 60Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I am often asked by elder persons whether or not they should take the herpes zoster (“shingles”) vaccine. Up until this point, I have been answering “yes” based on my own experience, but now there is some data to support this recommendation. In the article, “Herpes Zoster Vaccine in Older Adults and the Risk of Subsequent Herpes Zoster Disease,” Hung Fu Tseng and his colleagues reported their findings in the Journal of the American Medical Association (JAMA 2011;305[2]:160-161). They evaluated the risk of herpes zoster after persons received the vaccine in a general practice setting. In a retrospective (looking...
Source: Better Health - September 2, 2011 Category: Health Medicine and Bioethics Commentators Authors: Paul Auerbach, M.D. Tags: Research Herpes Zoster Hung Fu Tseng Immune system JAMA Journal of the American Medical Association Older Adults ophthalmic shingles Study Vaccine Source Type: blogs

The Features Of A Bundled Payment For Care Improvement ProjectEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Many health care provider organizations have not been overly eager to jump onto the Accountable Care Organization (ACO) bandwagon, citing high startup costs and uncertain returns on investment given the complexity of the program.  Well, recently, the CMS Center for Innovation has announced the Bundled Payment for Care Improvement initiative.  This initiative incorporates elements of earlier CMS demonstration projects — the gainsharing demos and ACE (acute care episode) bundled payments demonstrations which the HealthBlawger has helped a number of clients around the country qualify for in the past — and builds...
Source: Better Health - September 1, 2011 Category: Health Medicine and Bioethics Commentators Authors: DavidHarlow Tags: Health Policy News Accountable Care Organization ACO Bundled Payment Care Improvement CMS Fee-For-Service system FFS Health Reform Hospitals Massachusetts Massachusetts global payments Pay For Performance Physicians Source Type: blogs

Exploring the Health Needs of Incarcerated WomenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The July/August issue of the Journal of Obstetric, Gynecologic, & Neonatal Nursing includes a series of articles on the health care needs of women in prison, including the need to address inequalities, provide thorough care for complex health conditions, and to attend to the end-of-life needs of female prisoners. In End-of-Life Care and Barriers for Female Inmates, the authors explore a little-discussed topic. For background, they explain that “end-of-life” in prisons does not typically occur they way we might think, and so health care, and especially end-of-life care, for incarcerated women is much more co...
Source: Our Bodies Our Blog - August 30, 2011 Category: Health Medicine and Bioethics Commentators Authors: Rachel Tags: Healthcare system Source Type: blogs

Was Seth Godin Right To Suggest Anger Will Kill Your Art?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As far as I’m aware Seth Godin is not a certified Life Coach, nor does he write about Life Coaching or even self development per se. He does however, own what in my opinion is probably the best blog on the planet and has written some amazing books . Even though he’s first and foremost a marketeer, Seth dispenses the kind of common sense wisdom that is in reality, very uncommon and that’s why Continue reading...
Source: Life Coach Blog: The Discomfort Zone : - August 24, 2011 Category: Life Coaches Authors: Tim Brownson Tags: Life Coaching amygdala anger emotions limbic system seth godin Source Type: blogs

Why Physician Ratings Aren’t Quite Adequate YetEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
“Most physicians are competent and able to take care of most of the problems patients present with.  The standards for getting into medical school are high and for getting out are higher.  I think this call for patients to become experts in picking their doctors is overstated.”  – David Rovner, MD, Professor Emeritus, Michigan State University Most?  What does “most” mean?  Can most doctors treat me for the flu?  How about pancreatic cancer? Must I conduct the same type of research to choose a doctor to set my broken arm that I do to find one to treat my mom’s congestive heart failure?   Is the same lev...
Source: Better Health - August 17, 2011 Category: Health Medicine and Bioethics Commentators Authors: Jessie Gruman, Ph.D. Tags: Opinion Bias Customer Satisfaction David Rovner Doctor Choices Doctor Ratings Jessie Gruman Jim Jaffe LinkedIn Media messages Paul Levy Physician Rating Rating system The Right Doctor Top Doctors U.S. News Yelp Source Type: blogs

Launch of Dementia Commissioning PackEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: Launch of Dementia Commissioning Pack Scan or click to download 'Launch of Dementia Commissioning Pack' The Skinny: Dear Colleague letter announcing publication of the Dementia Commissioning Pack provides practical resources for health and social care commissioners to work together to improve the quality of both specialist dementia services and general health and care services for people with dementia and their carers. Publisher: DH Published: 21/07/11 Size: 2p. Filed under: Ooops Missed Category! Tagged: Alzheimers Disease, Dementia, Grey Literature, Mental Disorders, Mental Health, Nervous system disease...
Source: Fade Library - August 17, 2011 Category: Medical Librarians Authors: western4uk Tags: Ooops Missed Category! Alzheimers Disease Dementia Grey Literature Mental Disorders Mental Health Nervous system diseases Older People Pre senile dementia Source Type: blogs

FDA Approves GE’s Newest CT ScannerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
GE Healthcare has received the FDA OK for its Optima CT660 computed tomography (CT) system. The CT660, which is already available in Europe, Latin America and Asia, distinguishes itself by its compact footprint combined with a modular design and low dose imaging. In addition, it is also one of the most energy efficient CT scanners available and has an “environmental design” that eases refurbishment and end-of-life recycling. The scanner itself is scalable from 32 to 128 slices through purchasable options and features automatic table positioning and a color 12-inch integrated gantry display monitor. (more…) ...
Source: Better Health - August 15, 2011 Category: Health Medicine and Bioethics Commentators Authors: Medgadget Tags: News Approval ASiR Cardiovascular Imaging Compact CT system Computed Tomography CT Scanner Diagnostic Imaging FDA Food and Drug Administration GE GE Healthcare GE Optima CT660 General Electric Medical Devices Radiology Source Type: blogs

Woman Faces Murder Charges After Newborn Son Dies From Methamphetamine IntoxicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Could breastfeeding kill a newborn?  That is the question a California district attorney will ask a jury at the trial of a breastfeeding mother. Most women do not intend to harm their children but substance abuse and addiction comes with a heavy price. Such was the case of Maggie Jean Wortman, who has been charged with second degree murder after medical tests revealed that her newborn son died from methamphetamine intoxication obtained through her breast milk. Wortman’s 19-month-old daughter also tested positive for methamphetamine and was placed in protective custody. How could this happen? The transfer of drugs from t...
Source: Better Health - August 11, 2011 Category: Health Medicine and Bioethics Commentators Authors: Linda Burke-Galloway, M.D. Tags: Health Tips News addiction Brain Breast Milk Breastfeeding California Death Dr. Linda Burke-Galloway High Concentration infant Maggie Jean Wortman Methamphetamine Murder National Library of Science Nervous system Newborn Source Type: blogs

ICSA Labs Questions Strength of ONC Certification RulesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
You’ve undoubtedly heard the argument before: EHR certification is about assuring that systems meet minimum requirements for functionality and interoperability, but the certification process falls way short in terms of usability, privacy and security. But have you heard the argument from one of the ONC-authorized certification bodies? This is an excerpt from an e-mail I received today: Meaningful Use criteria have become a massive EHR certification driver for healthcare organizations. Hospitals and other providers rely on the criteria to ensure that their health IT systems meet minimum government-specified functional...
Source: EMR and HIPAA - August 11, 2011 Category: Technology Consultants Authors: Neil Versel Tags: Certified EHR EMR EMR Security EMR Technology Meaningful Use CCHIT Design Clinicals EHR Usability EMR Usability Health system Technology ICSA Labs ONC ONC Authorized Testing and Certification Body ONC-ATCB Source Type: blogs

The Effects of Using Birth Control, Right-Wing VersionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As previously reported, women with health insurance will soon have access to a host of preventive health care services, including contraception, without having to pay out-of-pocket costs such as co-payments, co-insurance and deductibles. Not surprisingly, the news rankled some conservatives who refuse to acknowledge the long-term economic or health benefits. Take, for instance, Sandy Rios, a FOX News contributor and vice president of the Family-PAC Federal, a conservative political action committee, who likened women’s health needs to beauty services: ”We’re $14 trillion in debt and now we’re going to cov...
Source: Our Bodies Our Blog - August 4, 2011 Category: Health Medicine and Bioethics Commentators Authors: Christine C. Tags: Birth Control & Family Planning Healthcare system Pop Culture Public Policy Source Type: blogs

Yes! HHS Approves IOM Recommendations for Preventive Care for WomenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Today, the U.S. Department of Health and Human Services announced that it is adopting the Institute of Medicine’s recommendations for preventive care services for women. This will ensure that women have access to the following services under health insurance plans without having to pay a co-payment, co-insurance or deductible: well-woman visits screening for gestational diabetes HPV testing STI counseling HIV screening and counseling contraception methods and counseling breastfeeding support, supplies, and counseling screening and counseling for domestic and interpersonal violence Coverage for these services is exp...
Source: Our Bodies Our Blog - August 1, 2011 Category: Health Medicine and Bioethics Commentators Authors: Rachel Tags: Birth Control & Family Planning Breastfeeding HIV & AIDS Healthcare system Pregnancy & Childbirth Violence & Abuse Source Type: blogs

Laquinimod Fails For Multiple SclerosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
If you haven't been reading carefully, you might have had trouble figuring out Teva's oral therapy for multiple sclerosis, laquinimod. After all, earlier this year, the company was blowing the horn for the compound at neurology meetings, touting how safe and effective it was, its advantages over existing therapies, and its potential in the market. You'd hardly know that the compound actually didn't perform as well as many people were hoping. And of course, that very article does mention, near the end, that the company was going to have some more results later in the year. . . . . .and that day has arrived. Unfortunately. ...
Source: In the Pipeline - August 1, 2011 Category: Chemists Tags: The Central Nervous system Source Type: blogs

Cardiovascular Problems? Stay Out Of The HeatEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The brutal heat wave gripping much of the country this week is unpleasant for healthy folks. For people with cardiovascular trouble, hazy, hot, humid days can be downright dangerous. Your body shouldn’t get too hot (or too cold). If your temperature rises too far, the proteins that build your body and run virtually all of its chemical processes can stop working. The human body sheds extra heat in two ways, both of which stress the heart: Radiation. Like water flowing downhill, heat naturally moves from warm areas to cooler ones. As long as the air around you is cooler than your body, you radiate heat to the air. But this...
Source: Better Health - July 29, 2011 Category: Health Medicine and Bioethics Commentators Authors: PJSkerrett Tags: Health Tips Beta Blockers Cardiac Problems Cardiovascular system Cold shower Cool air Damaged or weakened heart Drink Water Evaporation Heart Attack Heart Health Heat Heat Illness High temperatures Narrowed arteries Proteins Source Type: blogs

IOM Recommendations Also Support Screening/Counseling for ViolenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Last week, we highlighted the Institute of Medicine’s recommendation that birth control be covered without co-pays as a preventive service under health care reform. Several other aspects of women’s health were also covered by the Institute’s recommendations, including “screening and counseling for interpersonal and domestic violence.” While the birth control prevention got a lot of attention online, we’ve seen less discussion of this and other recommendations, so thought we’d highlight it. An email we received from Futures Without Violence called it a “historic victory,”...
Source: Our Bodies Our Blog - July 28, 2011 Category: Health Medicine and Bioethics Commentators Authors: Rachel Tags: Healthcare system Violence & Abuse Source Type: blogs

Football Helmets: Which Ones Are Most Likely To Prevent Head Injuries?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Courtesy of Virginia Tech-Wake Forest School of Biomedical Engineering and Sciences: National Impact Database Adult Football Helmet Ratings – May 2011 A total of 10 adult football helmet models were evaluated using the STAR evaluation system for May 2011 release.  All 10 are publicly available at the time of publication.  Helmets with lower STAR values provide a reduction in concussion risk compared to helmets with higher STAR values.  Based on this, the best overall rating of ‘5 Stars’ has the lowest STAR value.  Group rankings are differentiated by statistical significance. If you’re in the market to buy a l...
Source: Better Health - July 28, 2011 Category: Health Medicine and Bioethics Commentators Authors: GruntDoc Tags: Health Tips Research Athletes Concussion Football Football Helmet Ratings Head Injury National Impact Database National Operating Committee on Standards for Athletic Equipment Sports STAR Evaluation system Virginia Tech Wake Forest Source Type: blogs

Cartoon Makes A Simple Case For Why The U.S. Has No National System Of EMRsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Many people ask why the United States, unlike other countries, has no national system of electronic medical records. Here’s why: Insert the number 576 instead of 14, by the way. Each of which (more…) *This blog post was originally published at Musings of a Dinosaur*
Source: Better Health - July 27, 2011 Category: Health Medicine and Bioethics Commentators Authors: Lucy Hornstein, M.D. Tags: Humor Opinion Business Enterprise Coders Electronic Medical Records EMR Quality Control Sales Standards Support Staff United States Healthcare system Source Type: blogs

Our Expectation Affects Food Likes and DislikesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
How we taste can be dramatically affected by suggestions and expectations. Does pouring plain old tap water into fancy bottles make it taste better?  Yes.  At least in it did in a Penn & Teller episode on bottled water (please watch this video- very entertaining).  Penn & Teller went inside a southern California restaurant that featured a water sommelier that dispensed extravagant water menus to the patrons. The patrons had no idea that all of the fancy bottles of water were filled with the same water from a water hose in the back of the restaurant. Patrons were willing to pay $7.00 a bottle for L’eau Du Robin...
Source: World of Psychology - July 26, 2011 Category: Psychiatrists and Psychologists Authors: Jamie Hale Tags: Brain and Behavior General Memory and Perception Psychology Research Amazone Bottled Water Brazilian Rainforest Cheese Reception Eau Du Robinet Fancy Bottles Filtration system Flavor Perception Food Flavor Ingestion Mousse Source Type: blogs

Clinical Trial Costs Are Rising RapidlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As drugmakers scramble to replenish their pipelines, they are encountering all sorts of difficulties, including rising costs for clinical trials. And this is happening across all phases. Why? There is increasing competition for trial sites and clinical research organizations that can yield reliable, high quality data, according to a recent survey. And so, 32 percent of those surveyed pointed to higher costs for enrolling patients and 25 percent cited vendor fees. Expenses for recruiting trial sites was named by 14 percent, followed by 12 percent who fingered technology costs, according to Cutting Edge Information, which su...
Source: Pharmalot - July 26, 2011 Category: Pharma Commentators Authors: Ed Silverman Tags: Uncategorized Cardiovascular Central Nervous system Clinical Trials CNS Contract Research Organization CRO Diabetes Oncology Patient Enrollment Patient Recruitment Source Type: blogs

Need Mental Health Treatment in 2 Weeks? Fat ChanceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study demonstrates quite the opposite. Read the full article: Medical News: Barriers High in Mental Health Care
Source: World of Psychology - July 25, 2011 Category: Psychiatrists and Psychologists Authors: John M. Grohol, PsyD Tags: General Policy and Advocacy Psychology Psychotherapy Treatment American Healthcare system Best Insurance Blue Cross Blue Shield Blue Cross Blue Shield Massachusetts Care Provider Emergency Department High Health Honest Truth Insu Source Type: blogs

Why I’m Afraid For Anyone To Enter The Healthcare System… EverEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Alright, I admit that the title of this post is a little dramatic. But it really does seem that most people I know socially have had a bad experience with the healthcare system lately. Take for example my friend whose 3- year-old went to the hospital for a common pediatric procedure – the little girl was overdosed on a medicine, aspirated, got pneumonia, went into respiratory distress (noticed first by her mom) and remained in the pediatric ICU for several days. The hospital staff swept the overdose under the rug, and outright denied it happened when faced with direct questioning. As outrageous as that all is, my fri...
Source: Better Health - July 23, 2011 Category: Health Medicine and Bioethics Commentators Authors: Dr. Val Jones Tags: Health Tips Opinion Advice Caregivers CFAH ePatients Healthcare system Hospitals Louise H. Batz Patient Safety Foundation MedHelp Medical Errors PHR Survival Source Type: blogs

Gratitude for the Canadian Healthcare System — From an American PatientEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
“…our challenge is twofold: We have to find a way to cover all our people; and we have to figure out how to get better value for the US$2 trillion we currently spend on healthcare.” – David M. Cutler, Otto Eckstein Professor of Applied Economics at Harvard University and Member of the Institute of Medicine -commenting on the US healthcare system. Last month I was invited to speak for a week for The International Certificate Programme in Dual Diagnosis associated with Brock University under the guidance of Dr. Dorothy Griffiths & Dr. Frances Owen. Work I’ve developed over the past several years on psy...
Source: World of Psychology - July 14, 2011 Category: Psychiatrists and Psychologists Authors: Daniel Tomasulo, Ph.D. Tags: General Health-related Money and Financial Personal Policy and Advocacy Proof Positive Treatment American Patient Applied Economics Canadian Healthcare system Clinic Pharmacy Countries With Socialized Medicine David Cutler David Source Type: blogs

Speak Up Against Threats to MedicareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We received the following letter from Physicians for a National Health Program yesterday regarding political negotiations that range from raising the eligibility age for Medicare and increasing costs for participants to dismantling the program altogether. It’s an important issue and we hope you’ll take the time to learn more : With the 46th anniversary of Medicare only a few weeks away (July 30), the program is in serious danger. … You may have seen the Washington Post story last week that said, “President Obama is pressing congressional leaders to consider a far-reaching debt-reduction plan that would ...
Source: Our Bodies Our Blog - July 14, 2011 Category: Health Medicine and Bioethics Commentators Authors: Rachel Tags: Healthcare system Politics Source Type: blogs

Colorblind? Really?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
From Sister Blog, Law and Mind (by HLS student, Rachel Funk): Aunt Vivian: Gee, when Janice described him she didn’t mention that he was…tall. Not that I have a problem with people who are…tall. Uncle Lester: My cousin used to date a girl who was…tall. Uncle Phil: Heck, the boy go to a predominantly…tall school. Will: Now, am I alone on this or didn’t y’all notice he was white? ~ Fresh Prince of Bel-Air (Episode #2.6, Guess Who’s Coming to Marry) In a short article in the February/March 2009 issue of Scientific American Mind, Siri Carpenter discusses two studies done by psych...
Source: The Situationist - July 12, 2011 Category: Psychiatrists and Psychologists Authors: The Situationist Staff Tags: Ideology Implicit Associations Life system Legitimacy race John Jost system Justification Theory complementary stereotypes dr. beverly tatum colorblind politically incorrect Source Type: blogs

David Eagleman on The Secret Lives of the Brain (BSP 75)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In his new book Incognito: The Secret Lives of the Brain neuroscientist David Eagleman describes consciousness as "the smallest player in the operations of the brain" (page 5) because most of what the brain does is outside conscious awareness (and control). In a recent interview (BSP 75) Dr. Eagleman reviews some of the evidence for this startling position as well as the implications both for the average person and for social policy.   Listen to Episode 75 Episode Transcript (Download PDF) References: Incognito: The Secret Lives of the Brain by David Eagleman Eagleman, D. "The Brain on Trial," the Atlantic Monthy; J...
Source: the Brain Science Podcast and Blog with Dr. Ginger Campbell - July 8, 2011 Category: Neurologists Authors: Ginger Campbell, MD Tags: Books Brain Plasticity Brain Research Consciousness David Eagleman Decision Making Incognito Interviews Neuroscience Podcast Show Notes legal system unconscious Source Type: blogs

Even the New York Times Wants to Cut MedicaidEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
By Michael F. CannonFrom their editorial the other day: There is no doubt that Medicaid… has to be cut substantially in future decades to help curb federal deficits. For cash-strapped states, program cuts may be necessary right now. But in reducing spending, government needs to ensure any changes will not cause undue harm to millions. How would the Times cut Medicaid spending? The magic of central planning! The best route to savings — already embodied in the reform law — is to make the health care system more efficient over all so that costs are reduced for Medicaid, Medicare and private insurers as well. Various...
Source: Cato-at-liberty - July 7, 2011 Category: Health Medicine and Bioethics Commentators Authors: Michael F. Cannon Tags: Cato Publications Government and Politics Health Care central planning health care system Medicare New York Times reform Source Type: blogs

Join the National Women’s Law Center for a Birth Control Blog CarnivalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
On July 21, the National Women’s Law Center is hosting a “Birth Control: We’ve Got You Covered” blog carnival to talk about the importance of access to birth control and to encourage the U.S. government to include birth control in a list of services that will be available without a co-pay. The Affordable Care Act requires coverage – without a co-pay – for preventive services. Decisions about which services will be included are expected sometime this summer. Advocates, including the NWLC, have been working to encourage the Institute of Medicine and Department of Health and Human Services to include b...
Source: Our Bodies Our Blog - July 6, 2011 Category: Health Medicine and Bioethics Commentators Authors: Rachel Tags: Activism & Resources Birth Control & Family Planning Healthcare system Politics Source Type: blogs

Independence Day: Celebrating Courage to Challenge the SituationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
First Published on July 3, 2007: With the U.S. celebrating Independence Day — carnivals, fireworks, BBQs, parades and other customs that have, at best, only a tangential connection to our “independence,” — we thought it an opportune moment to return to its source in search of some situationism. No doubt, the Declaration of Independence is typically thought of as containing a dispositionist message (though few would express it in those terms) — all that language about individuals freely pursuing their own happiness. Great stuff, but arguably built on a dubious model of the human animal. That&...
Source: The Situationist - July 4, 2011 Category: Psychiatrists and Psychologists Authors: Jon Hanson Tags: History Ideology Situationist Contributors Social Psychology Independence Day July 4 system Justification Source Type: blogs

The Restless Shade of AHERF and the Return of Merger Mania: Highmark Tries to Buy Another Insurance Company, a Hospital System, a Medical School, and Physicians' PracticesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Starting in the 1990s, as US health care became more commercialized, a wave of mergers lead to super-sized hospital systems, insurance companies, and pharmaceutical companies.  Not all those mergers, especially involving hospitals, prospered.  Although the mergers were justified as drivers of increased efficiency, health care has become decreasingly accessible, increasingly expensive, and of no better quality.  However, now a whole new wave of mergers seems to be upon us.  The Proposed Highmark Blue Cross/ West Penn Allegheny Health System MergerThe latest example to get national attention is the p...
Source: Health Care Renewal - July 1, 2011 Category: Health Medicine and Bioethics Commentators Tags: AHERF UPMC oligopoly concentration of power mergers Allegheny Health system Highmark Source Type: blogs

More Employers Are Dropping Healthcare Insurance CoverageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
McKinsey Quarterly has reported its survey concluding there will be a radical restructuring of employer-sponsored health benefits (ESI) as a result of President Obama’s following the 2010 passage of the Affordable Care Act. Healthcare insurance rates have already skyrocketed as a result of anticipating the conditions of Obama care. President Obama has been powerless to do anything about the increases. Thirty percent (30%) of companies providing ESI to their employees will drop healthcare insurance coverage once Obama care takes effect in 2014. The survey included 1300 employers providing ESI across industries, geographie...
Source: Better Health - June 26, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrStanleyFeld Tags: Health Policy Opinion Affordable Care Act Employer-sponsored health benefits Employer-sponsored Insurance ESI Healthcare system McKinsey Quarterly Obama Obamacare Public Option Survey Universal Healthcare Source Type: blogs

Doctor-patient relationships in the age of IT: Social media thoughtsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
An unsatisfactory relationship between the doctor and patient is one of the great impediments to a functioning U.S. healthcare system. Our social media followers say that relationship is hurt by three primary factors... can IT help? read more
Source: Healthcare IT News Blog - June 24, 2011 Category: Technology Consultants Authors: Kelly Mehler Tags: Facebook Jonathan Nalli Porter Health system Social media Twitter U.S. healthcare Physician Practices & Ambulatory Care Quality and Safety Source Type: blogs

Antibiotics in VaccinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Antibiotics are in your vaccines. On June 2, 2011, The New York Times posted an online editorial that caught my eye, “The High Cost of Cheap Meat,” in which small doses of antibiotics in animal feed were discussed as the probable cause of the growing concern over an ineffectiveness in eliminating bacterial ‘super bugs’ that are overwhelming our immune systems and the practice of medicine. http://www.nytimes.com/2011/06/03/opinion/03fri3.html However, this ‘gem’ really sums up the issue: Last week, the Natural Resources Defense Council, joined by other advocacy groups, sued the Food and Drug Administration to co...
Source: vactruth.com - June 24, 2011 Category: Health Medicine and Bioethics Commentators Authors: Catherine J. Frompovich Tags: By Author Catherine Frompovich Top Stories antibiotic food residues cellular immune system factory farm animals humoral immune system vaccine antibiotics Source Type: blogs

Cladribine Is GoneEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Multiple sclerosis therapy has been changing a lot in recent years, and one of the biggest events was the introduction of Gilenya (fingolimod). That's the first non-injectable for MS, and it's quite a story (as well as being quite a weird compound from a chemistry perspective). Novartis has been racing ahead in selling that one, because they knew the Merck KgGa (Merck-Darmstadt) had another oral compound in the works, cladribine. That's a nucleoside analog with a different mechanism (targeting some lymphoctye subtypes and thus changing immune response), and it was already used in treatment of some forms of leukemia. It di...
Source: In the Pipeline - June 23, 2011 Category: Chemists Tags: The Central Nervous system Source Type: blogs

Vouchers in Education and Health Care ReformEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
By Adam SchaefferE.D. Kain has a post up here (and here) comparing and contrasting vouchers in education and health care. It’s an interesting post that manages both insight and remarkable oversights in a very short space. And the insight and oversights are bound up with each other: I think it’s a consistent position to support both single-payer health care – something many progressives advocate – and single-payer education – something many libertarians advocate. . . [Medicare] is a lot like what many school choice advocates want. They want government to foot the bill, but they don’t want them to provide the...
Source: Cato-at-liberty - June 22, 2011 Category: Health Medicine and Bioethics Commentators Authors: Adam Schaeffer Tags: Education and Child Policy Health Care school vouchers single-payer health care system Source Type: blogs

New Apple Developments will Likely Spur Mobile Health InnovationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
If you’re reading this blog, you most likely saw the pop-up/interstitial Intel ad that asks “Is Cloud Computing Right for You?” Steve Jobs apparently thinks so. The Apple impresario announced the company’s most talked-about offering, iCloud, at its Worldwide Developers Conference this week, among a number of other new developments that have stirred Apple fans to new heights of evangelism. Mashable.com staffers have been keeping up with conference developments and announcements pretty well. No sticky read more
Source: Healthcare IT News Blog - June 7, 2011 Category: Technology Consultants Authors: Jennifer Dennard Tags: Apple computing Industry News Intel operating system Steve Jobs Twitter Physician Practices & Ambulatory Care Electronic Health Records Health Information Exchange (HIE) Mobile/Wireless Privacy and Security Source Type: blogs

Diamond DownEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
By Mark A. CalabriaToday Nobel Prize-winning economist Peter Diamond announced he is withdrawing his nomination to the board of governors of the Federal Reserve System.  Professor Diamond, in the pages of New York Times, blames the opposition to his nomination on both partisan politics and what he sees as a misunderstanding of the relationship between unemployment and monetary policy.  Mr. Diamond, however, is the one with a fundamental misunderstanding.  We all know unemployment is an important issue and needs to be addressed.  The question is whether it can be addressed with loose monetary policy.  Mr. Diamond app...
Source: Cato-at-liberty - June 6, 2011 Category: Health Medicine and Bioethics Commentators Authors: Mark A. Calabria Tags: Finance, Banking & Monetary Policy board of governors fed board federal reserve system nobel prize peter diamond Source Type: blogs

Vermont Passes Law Providing for Insurance Coverage of Home Births and Midwives, Birth Certificate Changes for Transgender IndividualsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This reportedly makes Vermont the only state with a law that explicitly specifies that surgery is not required in order to obtain a new birth certificate. The law also provides that the original birth certificates will not be available for public inspection in order to protect individual privacy.
Source: Our Bodies Our Blog - May 27, 2011 Category: Health Medicine and Bioethics Commentators Authors: Rachel Tags: GLBTQ Healthcare system Legal Pregnancy & Childbirth Source Type: blogs

Health Literacy Resources for ProvidersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Earlier this month, I had the opportunity to attend the IHA health literacy conference, where many experts spoke about ways to make health information more understandable to more people. Health literacy is a complex topic that I’m still learning about, but it encompasses more than just reading skills. According to a common definition, health literacy is “The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.” Encompassed in that definition are basic reading skills, but also more complex skills...
Source: Our Bodies Our Blog - May 17, 2011 Category: Health Medicine and Bioethics Commentators Authors: Rachel Tags: Activism & Resources Healthcare system Source Type: blogs

Self-Fulfilling Doomsday PropheciesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In a world experiencing global climate change and massive environmental degradation, could it be that doomsday prophecies are a cause and consequence of the seeming indifference and recalcitrance of so many Americans? From NPR’s Here and Now: * * * Margaret Pease stands on a corner in downtown Pittsburgh, handing out doomsday pamphlets. “JUDGMENT DAY FOLKS!” she yells with a volume that would make a drill sergeant proud. “May 21, 2011!” For the past seven months, Pease has been crisscrossing the country in a caravan with eight others, warning anyone who will listen that God’s wrath is ne...
Source: The Situationist - May 13, 2011 Category: Psychiatrists and Psychologists Authors: The Situationist Staff Tags: Emotions Environment History Ideology system Legitimacy Source Type: blogs

Conservatives Win, Socialists Up, Liberals Down, Separatists OutEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
By Ilya ShapiroThe conventional wisdom is that the United States is a center-right country while Canada is a center-left one.  Yet, even as the most-left-wing president in history occupies the White House, last night the Conservative Party of Canada — which had already been steering its ship of state in a fiscally prudent direction despite only having a plurality of seats in Parliament – won a decisive victory.  Prime Minister Stephen Harper will thus lead the first first majority government by any party since 2004 (after the first election creating a majority government since 2000). How can this be? ...
Source: Cato-at-liberty - May 3, 2011 Category: Health Medicine and Bioethics Commentators Authors: Ilya Shapiro Tags: Government and Politics International Economics and Development Canada Election Harper Ignatieff majority parliamentary system separatists Source Type: blogs

Health Care UncoveredEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
During the week marking the fifth anniversary of our landmark health care reform in Massachusetts I participated in WCVBTV’s Health Care Uncovered Live Summit. It was an honor to be included in the panel of leaders, and I think we made important strides towards communicating the complexity of health care reform to the public. These are some of the topics we covered: Governor Patrick’s Payment Reform Bill Shift from Fee-For-Service to Global Payments How premium prices are calculated Why transparency is important Need to focus on Preventive Care/Patient Responsibility We also answered viewer’s questions ...
Source: HPHC - May 3, 2011 Category: Medical Lawyers and Insurers Authors: Eric Schultz Tags: Health Care Reform Health Care system Premiums Working with Everyone Source Type: blogs

Henry Ford Health System Decides Meaningful Use Not That MeaningfulEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The CMIO for inpatient services for Henry Ford Health System discusses the Michigan system's decision to hold off on applying for meaningful use funding in 2011, and what that means for its long-term vision of connecting clinical goals with IT support. April 15, 2011. Podcast running time: 3:58 (link to podcast).Excerpts:“The clinician experience of delivering care has never been more complicated. Implementation and adoption of these Electronic Health Records seems to be to many people an end in itself—and that’s unfortunate.The implementation and adoption of EHR is a means to an end and one of those ends is better p...
Source: Health Care Renewal - April 22, 2011 Category: Health Medicine and Bioethics Commentators Tags: Henry Ford Health system meaningful use Source Type: blogs

Air Traffic Control: Too Important for GovernmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
By Chris EdwardsThe government’s air traffic controllers have been sleeping on the job, watching movies rather than guiding planes, and misdirecting the First Lady’s plane over Washington. There have been soaring numbers of airplane near misses caused by ATC errors over the last year. Yesterday, the president said that federal government technology systems are “horrible” “across-the-board,” which isn’t good news for citizens hoping that the Federal Aviation Administration’s computers will land them safely. The government’s air traffic controllers are very highly comp...
Source: Cato-at-liberty - April 20, 2011 Category: Health Medicine and Bioethics Commentators Authors: Chris Edwards Tags: Government and Politics Regulatory Studies air traffic control air traffic controllers atc system federal aviation administration planes privatization Source Type: blogs

Oncology: Optical Biopsy Sheds Light on CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The use of light as a medical diagnostic modality has been evolving since the pulse oximeter was first invented.  The recent FDA approval of the optical coherence tomography imaging system (OCTIS) has taken the use of light as a diagnostic tool another step.  OCTIS is designed to use multiple wavelengths of light to provide magnified cross-sectional images of a suspicious pathology.  This, combined with its 1-mm catheter, will enable it to be a viable tool for lung and GI tract cancers.  Historically, advanced imaging technologies, such as CT and MRI, are used to detect suspicious nodules as small as 1 mm; however, to ...
Source: MD Buyline - April 14, 2011 Category: Technology Consultants Authors: james.x Tags: Diagnostic Oncology cancer GI tract light lung OCTIS optical coherence tomography imaging system Source Type: blogs

Paging system downEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
You don't realize how much we rely on the paging system until it goes down. We've turned into the hospital you see on TV, with "stat" pages overhead every 30 seconds.
Source: i'm so sleepy - April 12, 2011 Category: Anesthetists Tags: paging system down stat Source Type: blogs

Could Facebook Be Your Platform for Care Coordination?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
My guess is you’ve probably never asked yourself this question. A quick preview: Technical barriers aren’t the limiting factors to Facebook becoming a care coordination platform. Facebook’s company DNA won’t play well in health care. Could Facebook become the care coordination platform of the future? If not Facebook, then what? 1) Technical barriers aren’t the limiting factors to Facebook as a care coordination platform. Can you imagine Facebook as a care coordination platform? I don’t think it’s much of a stretch. Facebook already has 650 million people on its network with a myr...
Source: e-CareManagement - April 9, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Information & Communication Technologies (ICT) business model care coordination EHR integrated delivery system platform privacy newtag Source Type: blogs

Federal Spending: Ryan vs. ObamaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
By Chris EdwardsHouse Budget Committee Chairman, Paul Ryan, introduced his budget resolution for fiscal 2012 and beyond today entitled “The Path to Prosperity.” The plan would cut some spending programs, reduce top income tax rates, and reform Medicare and Medicaid. The following two charts compare spending levels under Chairman Ryan’s plan and President Obama’s recent budget (as scored by the Congressional Budget Office). Figure 1 shows that spending rises more slowly over the next decade under Ryan’s plan than Obama’s plan. But spending rises substantially under both plans—between 2012 and 2021, spending ri...
Source: Cato-at-liberty - April 5, 2011 Category: Health Medicine and Bioethics Commentators Authors: Chris Edwards Tags: Tax and Budget Policy block grants budget committee budget resolution budget savings congressional budget office farm subsidies federal spending food stamps health care system income tax rates medicare reforms paul ryan rand paul Source Type: blogs

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